Family Intervention for Mental Illness and Substance Abuse
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Purpose
This study will evaluate a family intervention program for individuals with bipolar disorder, schizophrenia, or schizoaffective disorder and co-occurring substance use disorders.
| Condition | Intervention |
|---|---|
|
Schizophrenia Bipolar Disorder Substance-related Disorders |
Behavioral: Family Intervention for Dual Diagnosis Behavioral: Family psychoeducation program |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Family Intervention for SMI and Substance Use Disorder |
- Alcohol use scale-revised [ Time Frame: Measured at baseline, during treatment, and post-treatment ] [ Designated as safety issue: No ]
- Drug use scale-revised [ Time Frame: Measured at baseline, during treatment, and post-treatment ] [ Designated as safety issue: No ]
- Substance abuse treatment scale [ Time Frame: Measured at baseline, during treatment, and post-treatment ] [ Designated as safety issue: No ]
- Timeline followback calandar [ Time Frame: Measured at baseline, during treatment, and post-treatment ] [ Designated as safety issue: No ]
| Enrollment: | 108 |
| Study Start Date: | April 2002 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Participants will undergo the Family Intervention for Dual Diagnosis (FIDD) program.
|
Behavioral: Family Intervention for Dual Diagnosis
The family intervention for dual diagnosis program lasts for up to 3 years and includes both single and multiple-family group formats.
|
|
Active Comparator: 2
Participants will be placed in a family psychoeducation program.
|
Behavioral: Family psychoeducation program
The family psychoeducation program consists of 6 weekly sessions.
|
Detailed Description:
Substance use disorder (SUD) in persons with severe mental illness may worsen the course of psychiatric illness. The loss of family support for individuals with mental illness is a major contributing factor to housing instability, homelessness, and other problems. Despite progress toward integrating mental health and substance abuse services, interventions that improve the course of mental illness while helping the families of the mentally ill are not currently available. Enhancing skills for coping with mental illness may be an effective strategy for treating SUD, decreasing caregiver burden, and improving the long-term outcomes for people with mental illness.
Patients and their families are randomly assigned to either the Family Intervention for Dual Diagnosis (FIDD) program or family psychoeducation. The FIDD program lasts for up to 3 years and includes both single and multiple-family group formats. The family psychoeducation program consists of 6 weekly sessions. Routine assessments are conducted on all patients, and relatives are evaluated on a wide range of outcomes, including substance abuse, hospitalizations, psychiatric symptoms, legal problems, aggression, housing and homelessness, family burden, social support, and quality of life. To determine the effectiveness of the FIDD program, knowledge of mental illness and problem-solving skills are assessed in the families following treatment.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Have schizophrenia, schizoaffective disorder, or bipolar disorder
- Have a current substance use disorder (within the past 6 months)
- Are willing to have at least 4 hours of contact per week with family members or significant others
- Plan to remain in the community
- Have family members or significant others who consent to participate in the study and plan to remain in the community
Contacts and Locations| United States, California | |
| Pacific Clinics El Camino | |
| Santa Fe Springs, California, United States, 90670-3691 | |
| United States, Massachusetts | |
| North Suffolk Mental Health Association | |
| Chelsea, Massachusetts, United States, 02150 | |
| Principal Investigator: | Kim T. Mueser, PhD | Dartmouth-Hitchcock Medical Center |
| Principal Investigator: | Shirley Glynn, PhD | University of California, Los Angeles |
More Information
Publications:
| Responsible Party: | Dartmouth-Hitchcock Medical Center |
| ClinicalTrials.gov Identifier: | NCT00043693 History of Changes |
| Other Study ID Numbers: | R01 MH62629, R01MH062629, DSIR SE-CE |
| Study First Received: | August 12, 2002 |
| Last Updated: | August 7, 2012 |
| Health Authority: | United States: Federal Government |
Keywords provided by Dartmouth-Hitchcock Medical Center:
|
Psychotic Disorders Schizoaffective Disorder Substance Abuse |
Additional relevant MeSH terms:
|
Bipolar Disorder Schizophrenia Substance-Related Disorders Affective Disorders, Psychotic |
Mood Disorders Mental Disorders Schizophrenia and Disorders with Psychotic Features |
ClinicalTrials.gov processed this record on May 16, 2013